Registration

Barrier management for Process Safety

Cost: €1195,-

Please complete this form to register for this course.

Name

Job title

Organisation

Phone number

Invoice address

Invoice name

Contact person or department

VAT number

For business orders

Purchase Order number or purchase reference (if applicable)

You register for participation in the Resilium Academy for

1 participant

2 participants (5% discount)

3 participants (10% discount)

4 participants (15% discount)

> 5 participants (we'll contact you for options)

Further remarks

Terms and conditions

I have read and agree to the Resilium terms and conditions (see resilium.group/terms or resilium.group/voorwaarden)